Do Arnica and Bromelain increase the risk of bleeding if taken after surgery?

Hello! Thank you for your question! The recommendations for the use of these homeopathic medications are surgeon preference. I typically suggest the use of Arnica Montana to decrease swelling and bruising. It is an herbal medication that is propagated from the seeds of an herb. I, as well as my patients, have seen some benefit with the treatment in the postoperative period. Although there is little evidence to its effectiveness, I believe there is some benefit, and no harm. I recommend 4-5 tablets under the tongue 4x/day for 3-5 days prior and 5-7 days after the procedure. Hope that this helps! Best wishes!

Arnica Montana
is a homeopathic drug that is claimed to reduce bruising and swelling.
Anecdotally, many patients and plastic surgeons feel that Arnica does have a
benefit. There are, however, conflicting reports in the valid scientific
literature about these claims. Bromelin (Bromelain), another homeopathic
medication, is a mixture of enzymes found naturally in the juice and stems of
pineapples and also purported to reduce swelling, bruising, inflammation and
pain after surgery. This supplement, which is often taken along with Arnica, is
also controversial with regard to efficacy. Neither should increase the risk of bleeding.I would suggest you discuss this with your
plastic surgeon who should be certified by the American Board of Plastic Surgery and ideally
a member of the American Society for Aesthetic Plastic Surgery (ASAPS)
that you trust and are comfortable with. It is critical that he or she should be aware of
all medications, supplements, minerals, vitamins, and herbs that you are
taking, because they may interfere with normal blood coagulation, healing, and
anesthesia.Robert Singer, MD
FACSLa Jolla, California

I personally think taking these drugs is absolute nonsense. I don't think there is significant chance of harm but there certainly nothing to suggest there is any benefit. If in doubt don't take them.